Provider Demographics
NPI:1578436242
Name:YAZDI, ASHKAN KHAKPARVAR (PHARMD, PHD)
Entity type:Individual
Prefix:
First Name:ASHKAN
Middle Name:KHAKPARVAR
Last Name:YAZDI
Suffix:
Gender:M
Credentials:PHARMD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11504 CATALONIA DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-4913
Mailing Address - Country:US
Mailing Address - Phone:512-751-5879
Mailing Address - Fax:
Practice Address - Street 1:11504 CATALONIA DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4913
Practice Address - Country:US
Practice Address - Phone:512-751-5879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-27
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50618183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty